Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2005
NPI: 1699960401
Practice Locations (4)
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
PARK NICOLLET CLINIC
2001 BLAISDELL AVE
MINNEAPOLIS, MN 554042414
9529938000
GROUP HEALTH PLAN INC
205 WABASHA AVE S
SAINT PAUL, MN 551071805
Source: CMS National Downloadable File, September 2026.